Zhang Xudong, Fan Jiahui, Li Huaping, Chen Chen, Wang Yan
Division of Cardiology, Tongji Hospital, Tongji Medical College and Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiologic Disorders, Huazhong University of Science and Technology, Wuhan, China.
Aging Dis. 2021 Jun 1;12(3):826-840. doi: 10.14336/AD.2020.1217. eCollection 2021 Jun.
Cluster of differentiation 36 (CD36), also referred to as scavenger receptor B2, has been shown to serve multiple functions in lipid metabolism, inflammatory signaling, oxidative stress, and energy reprogramming. As a scavenger receptor, CD36 interacts with various ligands, such as oxidized low-density lipoprotein (oxLDL), thrombospondin 1 (TSP-1), and fatty acid (FA), thereby activating specific downstream signaling pathways. Cardiac CD36 is mostly expressed on the surface of cardiomyocytes and endothelial cells. The pathophysiological process of diabetic cardiomyopathy (DCM) encompasses diverse metabolic abnormalities, such as enhanced transfer of cardiac myocyte sarcolemmal FA, increased levels of advanced glycation end-products, elevation in oxidative stress, impaired insulin signaling cascade, disturbance in calcium handling, and microvascular rarefaction which are closely related to CD36 signaling. This review presents a summary of the CD36 signaling pathway that acts mainly as a long-chain FA transporter in cardiac myocytes and functions as a receptor to bind to numerous ligands in endothelial cells. Finally, we summarize the recent basic research and clinical findings regarding CD36 signaling in DCM, suggesting a promising strategy to treat this condition.
分化簇36(CD36),也被称为清道夫受体B2,已被证明在脂质代谢、炎症信号传导、氧化应激和能量重编程中发挥多种功能。作为一种清道夫受体,CD36与各种配体相互作用,如氧化型低密度脂蛋白(oxLDL)、血小板反应蛋白1(TSP-1)和脂肪酸(FA),从而激活特定的下游信号通路。心脏中的CD36主要表达在心肌细胞和内皮细胞表面。糖尿病性心肌病(DCM)的病理生理过程包括多种代谢异常,如心肌细胞肌膜脂肪酸转运增强、晚期糖基化终产物水平升高、氧化应激增加、胰岛素信号级联受损、钙处理紊乱以及微血管稀疏,这些都与CD36信号传导密切相关。本综述总结了CD36信号通路,其在心肌细胞中主要作为长链脂肪酸转运体起作用,在内皮细胞中作为与多种配体结合的受体发挥功能。最后,我们总结了近期关于DCM中CD36信号传导的基础研究和临床发现,提出了一种有前景的治疗该疾病的策略。